TOMI LI CLARK PA-C
NPI 1205629797
Physician Assistant in Indianapolis, IN

Q: What is Tomi Clark's NPI number?

The NPI number for Tomi Clark is 1205629797. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Q: What is Tomi Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tomi Clark was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 27, 2025PECOS EnrolledAccepts Medicare Assignment

8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278(317) 802-2000(317) 802-2170 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Tomi Li Clark Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOMI LI CLARK PA-C (NPI 1205629797) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10004923A) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Orthoindy Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205629797

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTOMI LI CLARKCredential: PA-C

Location Address8450 NORTHWEST BLVDIndianapolis, IN 46278-1381

Mailing Address8450 Northwest BlvdIndianapolis, IN 46278-1381 · (317) 802-2000 · Fax (317) 802-2170

Phone(317) 802-2000

Fax(317) 802-2170

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 27, 2025

Last NPPES UpdateJune 26, 2026

NPPES CertifiedJune 26, 2026

✔ NPI 1205629797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10004923A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8450 NORTHWEST BLVD, Indianapolis, IN 46278

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tomi Li Clark Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800396128

PECOS Enrollment IDI20250821003799

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orthoindy Hospital

Acute Care Hospitals · Indianapolis, IN

OwnershipPhysician

CMS Certification Number150160

Location8400 Northwest BlvdIndianapolis, IN 46278 · Marion County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46278 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER CELIA WILLIAMS MD

Orthopaedic Surgery (Hand Surgery)